Miller, Clinton Frederick
Miller, Clinton Frederick is an individual health care provider with primary practice located at 330 Borthwick Ave Suite 300, Portsmouth NH 03801-4174. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Miller, Clinton Frederick can be contacted via phone (603) 433-4666.Contact Information
Primary practice address
330 Borthwick Ave Suite 300
Portsmouth NH 03801-4174
Phone: (603) 433-4666
Fax: (603) 433-1338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 7453 | New Hampshire |
Profile Details
| NPI number | 1699721761 |
|---|---|
| LBN Legal business name | Miller, Clinton Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jul 2nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699721761 | NPPES |
| New Hampshire | MEDICAID | 80009452 | |
| New Hampshire | MEDICAID | 3082955 |
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